SLEBC Insured -
I wanted to send a quick note as SLEBC has been notified that CHI has officially opted to not renew their contract with Aetna. This is still an ongoing situation and with many similar situations, we have seen agreements reached after the 'deadline'.
We will continue to provide updates as received on the status. Meritain has provided a list of providers who have opted to negotiate directly with CHI linked below. Members who are impacted by this negotiation should have already received notification from CHI regarding the potential to be OON.
CHI Health Partners Affiliated Providers List Nov. 26, 2024.pdf<https://www.aetnacommercialbusinesses.com/Segments/2024/Providence_Network/…>
If you would like to review out-of-network costs, please see page ten of the attached benefit guide.
If you would like to look up in-network providers, use the Aetna Open Choice PPO network option here<https://www.aetna.com/dsepublic/#/contentPage?page=providerSearchLanding&si…>.
Please let me know if you have any questions!
Thank you,
Tara
Tara Johnson
Director of Operations & Benefits
State Law Enforcement Bargaining Council
STAN | NCOA | NSFMA
PO Box 6729
Lincoln, NE 68506
Phone: 402.489.2081
Cell Phone: 402.440.8284
Fax: 402.489.6093
This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient please contact the sender and delete all copies.
You receive this email as a SLEBC-covered employee of the State of Nebraska.
SLEBC Open Enrollment for the 2025 plan year will be held from November 17th to November 25th, 2024.
Elected changes will become effective January 1st, 2025.
If you wish to make changes, please submit the necessary forms for Medical, Dental, and Vision coverage - if you do not have changes, you do NOT need to submit forms except for Flexible Spending. If you wish to enroll in Flexible Spending for 2025, you must submit your 2025 Flexible Spending election. FORM LINK<https://drive.google.com/drive/folders/15OSGRW-DhK6J7JH7NkgodoL46WCkNWPh?us…>
The SLEBC Board is happy to report that we have been able to maintain the same coverages we are accustomed to with an addition of a few items. We are thankful that we do not have any major plan design changes to our medical, dental or vision plans. You will find slight increases in the medical rates due to the increasing costs seen with current inflation along with plan usage.
As a self-funded health plan, this is a direct reflection of you being mindful of your utilization and using the tools available to make good healthcare decisions. We encourage you (and your family) to check in with your primary care provider for your annual preventative visit and continue to work toward being the healthiest you!
Please 🙂 watch a 30-minute review of your benefits here<https://drive.google.com/file/d/173YC9l738b3xZnBX01ho2G9dqo6JAL3n/view?usp=…> <https://drive.google.com/file/d/173YC9l738b3xZnBX01ho2G9dqo6JAL3n/view?usp=…> - you will learn something, I promise!
2025 SLEBC Benefit Changes
• Prescription Benefit Management in 2025 will be ServeYouRx and the formulary should cause very little disruption (less than 10 scripts).
• Nutrition Counseling is now available in-network for a $15 copay with a licensed dietitian or nutritionist.
• Out-of-Network Hearing Aid benefit will mirror In-Network benefits.
• GLP-1 option for weight loss is available at a discounted rate through a reputable pharmacy - this is funded by the member directly.
• There are no changes for dental, vision or additional life and AD&D premiums. There is an increase in your medical premium.
VIEW & DOWNLOAD ATTACHMENTS HERE<https://drive.google.com/drive/folders/15OSGRW-DhK6J7JH7NkgodoL46WCkNWPh?us…>
Attachment Review:
* 2025 Enrollment Documents - Fillable with optional digital signatures. (required for Camp 70)
* 2025 SLEBC Benefit Guide
* Standard Enrollment Packet (beneficiary changes, can change these benefits at any time during the year)
* Standard Beneficiary Form (required for Camp 70)
* SLEBC 2025 SBC
* 2025 SLEBC Open Enrollment Presentation Deck
* Life Certificate (for your records)
* LTD Certificate (for your records)
* 2025 Medical, Dental, Vision Rates (rates are also found in the SLEBC Benefit Guide)
* Life Services Toolkit (information to prepare a will, power of attorney, bill of sales, etc.)
* GLP-1 Information
* ServeYouRx Mail Order Information
ID Cards:
NEW Card - Apta Health (Medical/Rx)
Utilize Current Card - Delta Dental (Dental)
No ID Card - VSP (Vision) Providers use your DOB and/or the last four of your social security number.
If you have a new mailing address and have not notified me, please respond to this email with your address immediately so that we can ensure your insurance documents are sent to the correct address.
(Reminder: The state will NOT share this information with us.)
Please always check your pay stubs for accuracy. If you find a discrepancy, please let me know if it is a SLEBC deduction/withholding, and I'll work to get it corrected.
As always, if you would like to meet with me to discuss any benefits or have open enrollment questions, please let me know - I am more than happy to schedule a time to meet with you.
Be safe,
Tara
Tara Johnson
Director of Operations & Benefits
State Law Enforcement Bargaining Council
STAN | NCOA | NSFMA
PO Box 6729
Lincoln, NE 68506
Phone: 402.489.2081
Cell Phone: 402.440.8284
Fax: 402.500.3666
This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient, please contact the sender and delete all copies.
Happy Monday!
If you are part of the SLEBC Medical plan, I have a few items to update you on. Please forward this email to anyone who is on the plan that may have interest, i.e. spouse, adult children, etc..
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We have a NEW URL to access your claims and plan information: SLEBC.myaptahealth.com<http://www.SLEBC.myaptahealth.com>
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Secondly, you may have received mail from Magellan RX Management. Magellan RX Management has merged with Prime Therapeutics. Additional details regarding upcoming changes are listed below.
New names for your PBM and pharmacy coming this fall:
Magellan Rx Management, your current pharmacy benefit manager (PBM), merged with Prime Therapeutics in late 2022. Effective Oct. 1, Magellan Rx Management will become “Prime Therapeutics Management” and on Sept. 16 Magellan Rx Pharmacy will become “Prime Therapeutics Pharmacy.” You will receive additional information from their pharmacy if you currently use its services.
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What this means for you:
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On Sept. 16, the new website will be primetherapeutics.com. At that time, you will be able to access your new member portal by visiting wprimetherapeutics.com/member<http://www.primetherapeutics.com/member> and using the same login that you use today. Feel free to bookmark these websites for future use.
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Please note that if your plan references magellanrx.com in its Summary of Benefits or other plan documents, starting on Sept. 16 you should instead go to your new member portal at primetherapeutics.com/member.
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All current mail order medications should continue to be serviced with no disruption.
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The phone number on your ID card remains the same.
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I have attached both our SLEBC SBC and Benefit Guide for the 2024 calendar year. You'll find important information and required notices in these that you may want to reference throughout the year.
I understand that this change may raise questions, and we want to assure you that we are committed to providing a seamless experience for you. Please feel free to reach out to me or the care coordinators or Magellan RX/Prime Therapeutics for additional assistance.
Thank you,
Tara
Tara Johnson
Director of Operations & Benefits
State Law Enforcement Bargaining Council
STAN | NCOA | NSFMA
PO Box 6729
Lincoln, NE 68506
Phone: 402.489.2081
Cell Phone: 402.440.8284
Fax: 402.500.3666
This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient, please contact the sender and delete all copies.
